PMP Application Form.pdf - PMP\u00ae Certification Application PAGE 1 OF 6\u2003 |\u2003 YOUR INFORMATION Tips for completing this form \u2022 Hand-write your

PMP Application Form.pdf - PMP® Certification Application...

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PMP ® Certification Application PAGE 1 OF 6 | YOUR INFORMATION Tips for completing this form: • Hand-write your information clearly in blue or black ink onto a printed form and submit it by postal mail. • Type your information into the PDF. If you have PDF-editing software like Adobe® Acrobat® or Foxit® Reader, you can save your data. Otherwise, you will only be able to type your information, then print out the form and send it to PMI. All information and documentation must be in English. Faxed or scanned copies will not be accepted. If you are a PMI member, you have an ID number. To find your ID number, log in to myPMI and select “Profile” from the top navigation, then select “Membership Profile” from the left navigation. If you have any questions, you may contact PMI Customer Care at +1 610-356-4600, or send an email to [email protected] . For PgMP credential holders: If you hold the PgMP, you can maintain both credentials by accruing and reporting 60 Professional Development Units (PDUs) within your three-year cycle. Select one of th following options if you hold the PgMP. Option A - PMP credential and PgMP credential will share PDUs including those earned for the PgMP before obtaining the PMP will be forfeited. The PgMP renewal date will be set equal to the newly-acquired PMP renewal cycle. Option B - PMP credential and PgMP credential will share PDUs going forward. Any PDUs earned for the PgMP prior to obtaining the PMP and any PDUs earned after receiving the PMP. The PMP renewal date will be set equal to the existing PgMP renewal date. Therefore, renewal of the PMP credential will need to occur with the renewal of the PgMP credential. Instructions : In this section you are being asked to PRINT your name for three separate purposes. It is very important that you complete this section carefully. Section 1. Please print your name as you wish to be referred to in correspondence from PMI. Section 2. Please print your name as it appears on your government-issued identification that you will present at the testing center. Section 3. Please print your name as you wish it to appear on your PMP certificate. Section 1 . Name for correspondence from PMI: Prefix (Mr., Mrs., Ms., Dr.): First Name (given name): Middle Name: Last Name (family name, surname). Candidates with only a single name should use last name field: Suffix: Section 2. Name on government-issued identification: Check here if same as above. Prefix (Mr., Mrs., Ms., Dr.): First Name (given name): Middle Name: Last Name (family name, surname). Candidates with only a single name should use last name field: Suffix: Section 3. Name for your PMP certificate: Check here if same as above. Prefix (Mr., Mrs., Ms., Dr.): First Name (given name): Middle Name: Last Name (family name, surname). Candidates with only a single name should use last name field: Suffix: Prefered Mailing Address: Home Business Billing Address * : Home Business Home Address: City: State/Province/Territory: Country: Zip/Postal Code: PMI Member ID#: * If paying by credit card, your billing
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